WSR 11-21-067



(Medicaid Program)

[ Filed October 17, 2011, 1:55 p.m. ]

Subject of Possible Rule Making: WAC 182-550-4650 Full cost public hospital certified public expenditure (CPE) payment program and 182-550-5400 Payment method -- Public hospital disproportionate share hospital (PHDSH).

Statutes Authorizing the Agency to Adopt Rules on this Subject: 42 C.F.R. 433.51(b), RCW 41.05.021.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The agency is revising the rule to clarify that hospitals must be "operated" by a public hospital district (PHD) to qualify as a CPE hospital rather than "owned by a PHD.["] This change ensures that the state remains in compliance with 42 C.F.R. 433.51(b).

This rule revision also includes housekeeping changes such as "department" to "agency" and cross-reference fixes from TITLE 388 WAC to TITLE 182 WAC as a result of the merge to health care authority (HCA) on July 1, 2011.

Process for Developing New Rule: HCA welcomes the public to take part in developing the rules. Anyone interested should contact the staff person identified below. At a later date, HCA will file a notice of proposed rule-making (CR-102) with the office of the code reviser. A copy of the proposal will be sent to everyone on the mailing list and to anyone who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Wendy L. Boedigheimer, Rules Program Manager, Health Care Authority, Legal and Administrative Services, P.O. Box 45504, Olympia, WA 98504-5504, phone (360) 725-1306, fax (360) 586-9727, TTY 1-800-848-5429, e-mail

Kevin M. Sullivan

Rules Coordinator

Washington State Code Reviser's Office